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目的分析济源市2014年1—4月份手足口病的疫情流行特点,为有效防控手足口病提供科学依据。方法采用描述流行病学方法分析2014年1—4月份济源市网络直报的手足口病病例个案信息。结果 2014年济源市手足口病疫情从第10周开始呈现明显上升趋势,从第15周开始疫情呈现直线上升趋势,托幼机构聚集性疫情开始增多,从第18周开始疫情呈现下降趋势,1—4月份累计报告手足口病病例1425例,病例数为历史同期最高,16个镇、街道均有病例分布,病例分布呈现城区街道高于城乡结合部,城乡结合部高于一般农村的特点,男女性别比为1.23∶1,5岁以下病例占96.77%,临床严重程度高,首次出现了死亡病例。结论应加强疫情监测、报告、分析、预测,突出重点地区、重点人群,采取宣传、培训、督导、规范疫情处置等防控措施,降低发病率,减少重症病例发生,杜绝死亡病例发生。
Objective To analyze the epidemic characteristics of HFMD in Jiyuan from January to April 2014 and provide a scientific basis for the effective prevention and control of HFMD. Methods Descriptive epidemiological methods were used to analyze case-reports of cases of hand-foot-mouth disease directly reported in Jiyuan City from January to April 2014. Results In 2014, the epidemic situation of HFMD in Jiyuan City showed a clear upward trend from the 10th week. From the 15th week onwards, the epidemic showed a linear upward trend, and the epidemic situation began to increase in the nursery school. The epidemic situation showed a downward trend from the 18th week onwards - In April, a total of 1,425 cases of hand, foot and mouth disease were reported, with the highest number of cases in history and the distribution of cases in 16 towns and streets. The distribution of cases showed that the urban streets were higher than the urban-rural junction and the urban-rural junction was higher than that of the general rural areas. The male-to-female sex ratio was 1.23: 1, accounting for 96.77% of the cases under the age of 5, with high clinical severity. The first deaths occurred. Conclusion Prevention, monitoring, reporting, analysis and forecasting of epidemic situation should be strengthened, prevention and control measures such as propaganda, training, supervision and regulation of epidemic situation should be emphasized to highlight the key areas and key populations, reduce the incidence, reduce the occurrence of severe cases and eliminate the occurrence of deaths.